ISSN 2736-1594
International Journal of Obstetrics and Gynecology ISSN 2326-7234 Vol. 7 (1), pp. 001-009, January, 2019. © International Scholars Journals
Full Length Research Paper
Assessment of contraceptive use among persons living with HIV and AIDS in Kabale, Southwestern Uganda
Othman Kakaire1, Dan K. Kaye1* and Michael O. Osinde2
1Department of Obstetrics and Gynecology, Makerere University College of Health Sciences, P.O. Box 7072, Kampala, Uganda.
2Kabale Regional Hospital, Department of Obstetrics and Gynecology, P. O. Box 7, Kabale, Uganda.
Accepted 29 November, 2018
Abstract
The choice of contraception in people living with the Human Immunodeficiency Virus (HIV) is constrained by the need to prevent both sexual transmission of HIV and unwanted pregnancies. We assessed contraceptive use among 400 HIV- positive persons attending a care and support centre in Kabale, Uganda. Participants completed a structured questionnaire on socio-demographic characteristics, sexuality, contraceptive use, sero-status disclosure and antiretroviral therapy. Bivariate analysis and multivariate modeling were conducted to analyze factors associated with contraceptive use. The rate of dual contraceptive use was low. On bivariate analysis, sex and age of respondents, education level, marital status, drinking habits, whether participant had a stable relationship, number of sexual partners in previous 6 months and frequency of sexual intercourse were significantly associated with contraceptive use. Likewise, disclosure of sero-status to sexual partners, partner’s HIV positive status, history of new sexual partners in previous 3 months and whether respondent had been treated for STD since HIV diagnosis were significantly associated with contraceptive use (p-value < 0.05) . Factors independently associated with contraceptive use were level of educational attainment and whether respondent had changed partners since HIV diagnosis.
Key words: People living with HIV, contraception, antiretroviral therapy, Uganda.